Obscure gastrointestinal (GI) bleeding accounts for approximately 5% of all GI bleeding and is defined as bleeding from an unknown source that persists or recurs after negative endoscopic diagnostic evaluation. We present a case of 21 years old male who was admitted to our hospital with atypical presentation include amaurosis, on and off hematochezia worsen after seafood and alcohol consumption, past medical history showed that he had been treated in different hospitals without improvements, physical examination was uneventful with stable vitals, Endoscopy showed an ulcer with elevated margins and two Lumina in the ileum, and pathological result confirm chronic active inflammation of the mucosa with erosion. His final diagnosis was perforated meckel’s diverticulum and ileocecal resection was done and he’s currently stable during 6-months follow-up.
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